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NPI Code Detail

MEDICARE: DR. CHRISTOPHER BRIAN PERRY D.C.

MEDICARE:  DR. CHRISTOPHER BRIAN PERRY  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC010488PA

General Provider Information

NPI Number : 1033429543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER BRIAN PERRY D.C.
Provider Business Mailing Address
First Line : 3130 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19132-2421
Country : US
Telephone Number : 267-239-0103
Fax Number : 267-239-0104
Provider Business Practice Location Address
First Line : 3130 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19132-2421
Country : US
Telephone Number : 267-239-0103
Fax Number : 267-239-0104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2010
Last Update Date : 07/09/2014

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Directions to “ DR. CHRISTOPHER BRIAN PERRY D.C.” Practice Location

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